Neurol. pro Praxi, 2003; 3: 133-136

Komplikace chirurgické a endovaskulární léčby onemocnění magistrálních mozkových tepen

MUDr. Dagmar Krajíčková CSc
Neurologická klinika LF UK a FN v Hradci Králové

Keywords: karotická endarterektomie, perkutánní angioplastika, komplikace.

Published: December 31, 2003  Show citation

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Krajíčková D. Komplikace chirurgické a endovaskulární léčby onemocnění magistrálních mozkových tepen. Neurol. praxi. 2003;4(3):133-136.

Karotická endarterektomie je považována za standardní metodu k ošetření aterosklerotické stenózy extrakraniálního úseku karotické tepny již od 50. let minulého století. Rozvoj endovaskulárních metod v 80. letech nabídl nejen nový způsob léčby stenóz mozkových tepen, ale rozšířil možnost ošetření i na další oblasti mozkové cirkulace. Podmínkou toho, aby měl nemocný z ošetření prospěch, je nízké procento periprocedurálních komplikací. K tomu je nutná správná indikace výkonu, výběr vhodné metody, pečlivá příprava nemocného, zkušenost operujícího chirurga nebo intervenčního neuroradiologa či kardiologa a optimální pooperační péče.

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